NPIMap

Organization Active NPI

Firstchoice Physical Therapy and Sports Rehabiltation Inc

Doing business as FirstChoice Physical Therapy

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1871574426
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
HCC1264 Issued in FL
Legal business name
FIRSTCHOICE PHYSICAL THERAPY AND SPORTS REHABILTATION INC
Doing business as
FirstChoice Physical Therapy
Practice address
11945 San Jose Blvd
Suite 202
Jacksonville, FL 32223-1613
Phone
(904) 880-2424
Fax
(904) 880-2420
NPI assigned
Nov 10, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gerald Allen Stevens, ATC, LATNPI 1720069065
Title
President/ Owner
Phone
(904) 880-2424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X HCC1264 FL Primary

Addresses

Primary practice location

11945 San Jose Blvd
Suite 202
Jacksonville, FL 32223-1613

Mailing address

11945 San Jose Blvd
Suite 202
Jacksonville, FL 32223-1613
Phone (904) 880-2424

Other names 1

  • FirstChoice Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871574426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 SAN JOSE BLVD",
            "address_2": "SUITE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231613",
            "telephone_number": "904-880-2424",
            "fax_number": "904-880-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11945 SAN JOSE BLVD",
            "address_2": "SUITE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231613",
            "telephone_number": "904-880-2424",
            "fax_number": "904-880-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTCHOICE PHYSICAL THERAPY AND SPORTS REHABILTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "904-880-2424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC, LAT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "HCC1264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstChoice Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.